Department of Otolaryngology, Fukushima Medical University, 1 Hikarigaoka, Fukushima 960-1295, Japan.
Department of Otolaryngology, Fukushima Medical University, 1 Hikarigaoka, Fukushima 960-1295, Japan.
Auris Nasus Larynx. 2021 Oct;48(5):1035-1037. doi: 10.1016/j.anl.2020.06.010. Epub 2020 Jul 9.
Observing the entire circumference of the hypopharynx is usually difficult because most of the area is anatomically closed in the resting state. The modified Killian's method, consisting of a combination of the modified Killian position, head torsion, and the Valsalva maneuver, is a recently proposed procedure to improve the endoscopic view of the hypopharynx. A fish bone, which was invisible under regular endoscopy but was identified by CT, was successfully observed and removed under the modified Killian's method in a 71-year-old female. This method can be applied to diagnose and treat benign hypopharyngeal disease such as fish bone foreign body in addition to the detection of cancer.
观察下咽的整个圆周通常很困难，因为在休息状态下，大部分区域在解剖学上是封闭的。改良的 Killian 方法，包括改良的 Killian 体位、头部扭转和瓦尔萨尔瓦动作的组合，是一种最近提出的改善下咽内镜视图的方法。在一名 71 岁女性中，成功地观察并切除了一根在常规内镜下看不见但在 CT 下识别的鱼骨，该方法在改良的 Killian 方法下观察并切除了一根在常规内镜下看不见但在 CT 下识别的鱼骨。这种方法除了可以发现癌症外，还可以用于诊断和治疗良性下咽疾病，如鱼骨异物。
